DR. WALLACE SCOTT JOHNSON O.D.
NPI 1346209020
Optometrist in Pillager, MN
About Dr. Wallace Scott Johnson O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WALLACE SCOTT JOHNSON O.D. (NPI 1346209020) is an individual optometrist in Pillager, Minnesota, licensed in Minnesota (2196) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Wallace Scott Johnson O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Wallace Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pillager, MN 56473
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Up North Eye Care PA
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56473 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Wallace Johnson's NPI number?
The NPI number for Wallace Johnson is 1346209020. It was assigned to this individual provider in the NPPES registry on March 21, 2006.
Where is Wallace Johnson located?
Wallace Johnson practices at 775 Buckskin Ave W, Pillager, MN 56473. The listed phone number is (218) 746-2020.
What is Wallace Johnson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Wallace Johnson enrolled in Medicare?
Yes. Wallace Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Wallace Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wallace Johnson reassigns Medicare benefits to Up North Eye Care, P.A. (Pillager, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wallace Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Wallace Johnson accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Wallace Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Wallace Johnson was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Wallace Scott Johnson, O.D. · NPI 1346209020
Optometrist provider in Pillager, Minnesota. Individual provider, active in the CMS NPPES registry since March 21, 2006.
## Identity
- **NPI:** 1346209020 (Entity type: Individual)
- **Enumerated:** March 21, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2196 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 775 BUCKSKIN AVE W, Pillager, MN 56473-2509
- **Phone:** (218) 746-2020 · **Fax:** (218) 520-0654
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Up North Eye Care, P.A. (NPI 1497389944, Pillager, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** July 24, 2025
- **Other identifiers:** Other 63372 (MN); Medicaid 970525200 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1346209020) · Data from the CMS NPPES public registry.